A newborn remains apnoeic after 30 seconds of effective positive-pressure ventilation, and the heart rate is 50 beats per minute. Which action should the nurse take?
Correct answer: B. Begin chest compressions with assisted ventilation
- A. Continue observation without further intervention
- B. Begin chest compressions with assisted ventilation
- C. Give the newborn sterile water by mouth
- D. Place the newborn skin to skin with the mother
Explanation
A heart rate below 60 beats per minute after effective ventilation requires chest compressions coordinated with ventilation. Skin-to-skin care is appropriate for a stable newborn, but it must not delay resuscitation in severe bradycardia.
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About Care of the Newborn
Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.
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